Organization
GRACE HEALTH INC
Active
Other names
Grace Health - Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CHANG (PRESIDENT/CEO)
(269) 966-2600
Entity
Organization
Contact information
Practice address
181 EMMETT ST W, BATTLE CREEK, MI 49037-2963
(269) 441-6774
(269) 441-6775
Mailing address
181 EMMETT ST W, BATTLE CREEK, MI 49037-2963
(269) 441-6774
(269) 441-6775
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011357
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285131896
—
MI
01
—
2176952
PK
—
Enumeration date
04/10/2018
Last updated
07/27/2018
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